Active NPI
Susan Salem, DC
- Chiropractor
- Walnut Creek, CA
National Provider Identifier
1801939525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23630
- Practice address
- 1299 Newell Hill PL
Suite 102
Walnut Creek, CA 94596-5292 - Phone
- (925) 933-1738
- Fax
- (925) 933-3549
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 23630 | CA | Primary |
Addresses
Primary practice location
1299 Newell Hill PL
Suite 102
Walnut Creek, CA 94596-5292
Mailing address
1299 Newell Hill PL
Suite 102
Walnut Creek, CA 94596-5292
Phone (925) 933-1738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060120000455 | CA | Practitioner - Chiropractic | 1254355936 | Practice locations: Walnut Creek, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1299 Newell Hill PL
Suite 102
Walnut Creek, CA 94596-5230
Phone (925) 933-1738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23630 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801939525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 NEWELL HILL PL",
"address_2": "SUITE 102",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965292",
"telephone_number": "925-933-1738",
"fax_number": "925-933-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 NEWELL HILL PL",
"address_2": "SUITE 102",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965292",
"telephone_number": "925-933-1738",
"fax_number": "925-933-3549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEM",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "23630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.